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"He argues, and I think it has been a very effective argument, that part of the biblical injunction is to help the poor, and he sees Medicaid and the kind of health care that can be provided as one way to do that," said Paul Beck, a political science professor at Ohio State University. "I think that kind of softens his conservative edges and broadens his appeal in the general election and with business conservatives in Ohio."

"It shows explicitly the fissure that has opened up between the most conservative Republicans and what, for want of a better term, could be called the establishment Republicans," said Paul Beck, a politics professor at Ohio State University.